Most people in developed nations give little regard to the water that comes
out of the tap, considering water quality to be a ‘third world issue’. This chapter
presents findings from three years of research on residents’ perceptions of drinking
water quality across eastern Australia, including those who manage their own water.
The findings and discussions are framed within the health literacy discourse and
demonstrate how present water quality reporting practices fail to enable consumers to
develop adequate health literacy about their drinking water. The impact of current
practices limiting health literacy development is identified as having a greater impact on
rural and regional residents than on urban counterparts. This variation is noted as due to
differences in risk perceptions facilitated by population size-based testing regimes that
do not take into account regionally specific risks. Levels of health literacy are
demonstrated through respondents’ comments in relation to a well publicised issue,
fluoride, and an issue the population may have basic knowledge about yet not
necessarily associated with drinking water, agriculture. The chapter concludes by
advocating information dissemination strategies that appropriately address community
concerns and preferred means of knowledge attainment and engagement. This call for
an effective strategy is tempered by acknowledging the need to ensure residents are able
to identify suitable, trustworthy experts.
Keywords: Australian Drinking Water Guidelines, rural health, health literacy,
risk, tank water, pesticide, fluoride